EVIDENCE-BASED VITAMIN AND MINERAL USAGE SUMMARY TABLE (APRIL 2002)

Similar documents
How much do you know about illnesses or health problems for your parents, grandparents, brothers, sisters, and/or children? 1 A lot Some None at all

what vitamins are what vitamins are for

Nutrition Consultation Intake Form Please write or print clearly

CHRONIC TREATMENT GUIDELINES

CUMULATIVE ILLNESS RATING SCALE (CIRS)

Premium Specialty: Pediatrics

Evolve180 / Ideal Northwest Health Profile

Initial Consultation

Southwest Service Life Insurance Company

LECOM Health Ophthalmology

In your own words, please write the reason you are here. Please be specific, putting in dates as necessary. Use the back of the form if needed.

Medical History Form

Pharmacy Prep. Qualifying Pharmacy Review

BACK TO BASICS HEALTH & NUTRITION COMPREHENSIVE HEALTH HISTORY

Liver Health: Do you have liver problems? Yes No If so, please specify:

Holistic Massage Diploma Assessment Book

Pharmacotherapy Handbook

City State Zip. Cell Phone. Other Phone. Gender Male Female Status Single Married Divorced Widowed. Height Weight EXERCISE Yes No Times per Week

Medication Allergies

MEDICAL HISTORY FORM FOR FOLLOW-UP

UnitedHealth Premium Physician Designation Program Episode Treatment Groups (ETG ) Description and Specialty

SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs. January 2018 WALK INS ARE ACCEPTED BUT WE ADVISE STUDENTS TO PRE-REGISTER BEFORE THURSDAY

SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs. January 2019

Over. Signature of Patient/Parent/Guardian: Date: / / Date: / / Patient s Name: For ADULT Patients : Employer: Address: Occupation:

RHEUMATOLOGY PATIENT HISTORY FORM

TABLE OF CONTENTS INTRODUCTION DIGESTION SUGAR HANDLING MUSCULOSKELETAL. Introduction I

SCHEDULE OF CONTINUING EDUCATION COURSES FOR RN s and CNAs. January 2018

Barbara G. Wells, PharmD, FASHP, FCCP, BCPP Dean and Professor School of Pharmacy, The University of Mississippi Oxford, Mississippi

BOTLHE MEDICAL AID SCHEME - APPLICATION FORM

Patient Intake Form for Allegany Ear, Nose, & Throat

Patient Name (First, Middle, Last) Height Weight. Ethnicity Race Language. Address. City State Zip. Home Phone Cell Phone. Work Phone Other Phone

Alivia Acupuncture Clinic, LLC. Address. City State Zip. . Occupation Employer. Emergency contact Relationship. Primary Care provider Phone

Ronald Steriti, ND, PhD 1284 Granada Blvd Naples, FL (239)

NEW GYN PATIENT HISTORY FORM (OB PATIENTS, please DO NOT USE THIS FORM. Thanks.)

Notifiable Medical Conditions

Honduras New Hope Clinic Weekly Reports, August Weekly Report August 3-7, 2015

Joseph S. Weiner, MD, PC Patient History Form

Adult Health History

Family Naturopathic Clinic

Kantar Health NHWS Overview

ITG Diet Health Status Intake Form

SCHNEIDER MEDICAL GROUP, PA History Intake Form (Please Print)

Personal Health Evaluation

PLEASE COMPLETE ALL SECTIONS OF THIS FORM

Measuring Long-Term Conditions in Scotland - A summary report

What do you believe is causing your most important health concern?

Women s Health Study Matrix of Variables Collected

Intensity: 0-10 (10 is the worse pain you have ever experienced in your life that you would want to jump from a building, 0 is no pain)

First Name. Profession. Weight lbs. Weight 1 year ago lbs. Min. Adult Weight lbs. at age Maximum Weight lbs. at age

PATIENT INFORMATION FORM (WOMEN ONLY)

Patient Name Date of Birth MALE / FEMALE Date. Left handed or Right handed. Marital Status: Single Married Divorced Widowed Children?

Person Served Health Care Providers. Address Tel Number Fax

Maineville Family Physician. History and Review of Systems. Name: DOB

PERSONAL HEALTH INVENTORY

NC Neuropsychiatry, PA HEALTH QUESTIONNAIRE

BREAKTHROUGH MEDICINE

Female New Patient Questionnaire

ANY FAMILY HISTORY OF ANEURYSM OR DVT?

THE HORMONE HEALTH PROFILE

TOUCHMATTERS MANUAL THERAPY Health History Form NAME: DATE: ADDRESS: (street and number) (city) (postal code) TELEPHONE: (home) (work) (cell)

Houston Academy of Medicine-Texas Medical Center Library

ABUNDANT HEALTH CHIROPRACTIC New Patient Form PERSONAL INFORMATION. Name: Gender: M F Today's Date: / / Birth Date: / / Age: Social Security #: - -

Medical conditions that preclude entry

Nutrients FOR WHOLE BODY HEALTH

McLaren Cardiothoracic and Vascular PATIENT HISTORY FORM

MEDICAL HISTORY. Previous Nephrologist. Medication taken Insulin Oral Both. Who manages your diabetes? Blindness Yes No Hearing Problems Yes No

Attending Physician s Statement

VIPUL M DESAI

Last Name: First Name: Address: Apt/Unit #: City: State: Zip: Best Contact Phone Number: Date of Birth: Age: Profession:

Welcome to Medina Family Chiropractic and Acupuncture!

Review of Systems NAME: DATE OF BIRTH: DATE COMPLETED: Dear Patient,

Sharon Lunn LCPH, MCPH, HMA, MARCH, RT Registered Homeopath & Colon Hydrotherapist Clinic at: Harold Wood, Essex

Patient Admittance Form

CHRONIC MEDICINE PROGRAMME GENERAL INFORMATION LETTER

Past Medical History. Chief Complaint: Patient Name: Appointment Date: Page 1

Summary listing of suspected adverse reactions and events associated with use of Gardasil 01/06/ /12/2015

For Office Use Only: MA complete Date of Visit / / mm/dd/yyyy. This form must be scanned into the medical record. Do not remove from clinic.

DHATU ASSESSMENT. Total the number of symptoms for each tissue category. 1. BLOOD PLASMA (RASA). The clear, serum portion of the blood.

Medical History Form

Table of Contents: 1. Neurology

Male New Patient Questionnaire

NEW PATIENT INFORMATION

MenoChat. City State Zip Code. Employer Job Title. Primary Care Provider Phone: History. Desired Outcome:

St Andrew s College Medical Questionnaire.

Natural Balance strives to offer efficacious, holistic, natural health-care, in a personalized, caring and supportive manner.

HORMONE BALANCE QUESTIONNAIRE FOR WOMEN

Functional Blood Chemistry & CBC Analysis

Welcome to About Women by Women

Adult Health History Summary

Colon Hydrotherapy Questionnaire

intake form About You : General Health Information: Page 1`of 5 State/Province: Country: Zip/Postal Code: Address:

List of Qualifying Conditions

Weight: lbs. Weight 1 year ago: lbs. Min. Adult Weight: lbs at age

Mind-Body Wellness Questionnaire

Weight 1 year ago (lb):

January Intravenous Nurse Day ALL MONTH LONG SUN MON TUE WED THU FRI SAT. Blood Donor Month. Glaucoma Awareness Month

Patient Name Date of Birth Age. Other phone ( ) . Other

New Patient Form. Patient Demographics. Emergency Information. Employment Information. Page 1 of 7. Family Health Chiropractic Care

HEALTH QUESTIONNAIRE (In strictest confidence)

Core Module 9: Maternal Medicine

Transcription:

Acne Acrodermatitis Enteropathica Adrenal Support Age Related Cognitive Decline Alcoholism/Alcohol Withdrawal Alzheimer's Disease Amenorrhoea Anaemia Angina Anorexia Nervosa Anxiety Asthma Atherosclerosis Athletic Performance Attention Deficit Hyperactivity Disorder Autism Bell's Palsy Benign Prostatic Hyperplasia Biploar Disorder/ Manic Depression Birth Defect Prevention Blepharitis Boils Breast Cancer Burns (Minor) Bursitis Brittle Nails Bronchitis Cancer Canker Sores, Vitamin B, 00, Michael John Nisbett KEY: = Principle Use; = Proposed Use; and = Traditional Use. Page of 6

Cardiac Arrhythmia Cardiomyopathy Cardiovascular Disease Carpel Tunnel Syndrome Cataracts Celiac Disease Cervical Dysplasia Chinese Restaurant Syndrome/MSG Sensitivity Cholesterol (High) Chronic Fatigue Syndrome Chronic Obstructive Pulmonary Disease Cluster Headache Cold Sores Colds Colon Cancer Congestive Heart Disease Conjunctivitis Contact Dermatitis Cradle Cap/ Seborrhoeic Dermatitis Crohn's Disease Cystic Fibrosis Depression Dermatitis Herpetiformis Diabetes Diabetic Neuropathy Diarrhoea Diarrhoea Dupuytren's Contracture Dysmenorrhoea, Vitamin B,, 00, Michael John Nisbett KEY: = Principle Use; = Proposed Use; and = Traditional Use. Page of 6

Ear Infections Eating Disorders Epilepsy Eczema Fatigue Fibrocystic Breast Disease Fibromyalgia Gallstones Gastritis Genital Herpes Gingivitis Glaucoma Gout Halitosis Hayfever Heart Attack Heart Disease Hepatitis HIV Support Hives Homocysteine (High) Hypertension/High Blood Pressure Hypoglycaemia Hypothyroidism Immune Function/ Infections Infertility (Female) Infertility (Male) Inflammation Influenza,,,, Vitamin B,, 00, Michael John Nisbett KEY: = Principle Use; = Proposed Use; and = Traditional Use. Page of 6

Insomnia Insulin Resistance/ Syndrome X Intermittent Claudication Kidney Stones Lactation Support Lead Toxicity Leukaemia Leukoplakia Liver Cirrhosis Low Back Pain Lung Cancer Lupus Macular Degeneration Measles Menkes' Disease Menopause Menorrhagia Migraine Headaches Multiple Sclerosis Myelodysplastic Syndromes Nausea/Morning Sickness Night Blindness Obsessive Compulsive Disorder Osgood-Schlater Disease Osteoarthritis Osteoporosis Pain Pancreatic Insufficiency Pap Smear (Abnormal) Vitamin B 00, Michael John Nisbett KEY: = Principle Use; = Proposed Use; and = Traditional Use. Page 4 of 6

Parkinson's Disease Peptic Ulcer Peripheral Vascular Disease Pernicious Anaemia Phenylketonuria Photosensitivity Postpartum Support Pre- and Post-Surgery Health Preeclampsia Pregnancy Support Pregnancy-induced (Gestational) Hypertension Premenstrual Syndrome (PMS) Progressive Pigmented Purpura Prostate Cancer Prostatitis Psoriasis Raynaud's Disease Restless Leg Syndrome Retinitis Pigmentosa Retinopathy Rheumatoid Arthritis Rickets Schizophrenia Scurvy Seasonal Affective Disorder Shingles Skin Ulcers Sickle Cell Anaemia Sinusitis Vitamin B,, 00, Michael John Nisbett KEY: = Principle Use; = Proposed Use; and = Traditional Use. Page 5 of 6

Sprains and Strains Stroke Sunburn Tardive Dyskinesia Tinnitus Triglycerides (High) Ulcerative Colitis Urinary Tract Infection Urinary Urgency (Women) Vaginitis Vertigo Viral Illnesses Vitiligo Weight Loss and Obesity Wilson's Disease Wound Healing Yellow Nail Syndrome Vitamin B 00, Michael John Nisbett KEY: = Principle Use; = Proposed Use; and = Traditional Use. Page 6 of 6